16 October 2013
During a routine inspection
We asked people whether they gave consent to their care, treatment and support they received and what happened if they refused. People said they could agree or refuse and could change their mind if they wanted to. We asked staff what they would do if a service user refused something that was planned for them and they told us that they discussed it with the person and tried to persuade them but could not force someone to do anything if they did not consent. We asked people if they knew how to make a complaint if they were unhappy with anything, and they did.
People said that they received the care they needed and we saw that it matched their care plans. We observed staff interact with and care for people in a kind and professional way. Staff acted as if they knew the different needs and plans for all of the service users.
People told us that there were always enough staff to look after them but that outings were sometimes cancelled if there were not enough staff. We looked at staffing records for the last four months and found that between there were always a minimum of four staff on duty during the day and two at night.
We asked people if the home was clean and they said it was. However, we observed general cleanliness and infection control and there were some areas of concern.